Disaster Psychology and Trauma Management

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CERT Basic Training
Unit 7
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-1
 
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Describe disaster and post-disaster
emotional environment for survivors and
rescuers
Describe steps rescuers can take to
relieve their own stress and that of other
survivors
 
7-2
 
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Disaster Trauma
Team Well-Being
Working with
Survivors’ Trauma
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-3
 
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Your own personal losses
Working in your neighborhood
Assisting neighbors, friends, coworkers
who have also been injured
Not feeling safe and secure
 
CERT Basic Training
Unit 7: Disaster Psychology
 
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Irritability or anger
Self-blame or blaming
others
Isolation and
withdrawal
Fear of recurrence
Feeling stunned,
numb, overwhelmed
Feeling helpless
 
Mood swings
Sadness, depression,
grief
Denial
Concentration and
memory problems
Relationship
problems/marital
discord
 
7-4
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-5
 
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Loss of appetite
Headaches or chest pain
Diarrhea, stomach pain, or nausea
Hyperactivity
Increase in drug consumption
Nightmares
Insomnia
Fatigue
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-6
 
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Actions can be taken before, during, and
after an incident to help manage emotional
impact of disaster response work
Knowing possible psychological and
physiological symptoms of disaster trauma
helps manage impact
Learn to manage stress
CERT members for themselves
CERT leaders during response
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-7
 
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Get enough sleep
Exercise regularly
Eat a balanced diet
Balance work, play, and rest
Allow yourself to receive as well as give
Connect with others
Use spiritual resources
 
CERT Basic Training
Unit 7: Disaster Psychology
 
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Be aware of trauma that can follow a
disaster
Explain to family members and friends
what you need:
Listen when you want to talk
Don’t force you to talk
 
7-8
 
CERT Basic Training
Unit 7: Disaster Psychology
 
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Brief CERT personnel beforehand
Remember CERT is a team
Rest and regroup
Take breaks away
Eat properly, stay hydrated
Arrange for debriefing
Rotate teams and duties
Phase out workers gradually
 
7-9
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-10
 
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1. Introductions and description
2. Review of factual material
3. Sharing of initial thoughts and feelings
4. Sharing of emotional reactions to incident
5. Instruction about normal stress reactions
6. Review of symptoms
7. Closing and further needs assessment
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-11
 
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Impact
Inventory
Rescue
Recovery
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-12
 
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Actual or potential death
Serious injury
Destruction
Loss of contact with family or close friends
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-13
 
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Cognitive functioning
Physical health
Interpersonal relationships
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-14
 
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Prior experience with a similar event
Intensity of disruption
Individual feelings about event
Emotional strength of individual
Length of time since event
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-15
 
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Assess survivors for injury or shock
Get uninjured people to help
Provide support by:
Listening
Empathizing
Help survivors connect with natural
support systems
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-16
 
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Put yourself in the speaker’s shoes
Listen for meaning, not just words
Pay attention to nonverbal communication
Paraphrase the speaker
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-17
 
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“I understand”
“Don’t feel bad”
“You’re strong” or “You’ll get through this”
“Don’t cry”
“It’s God’s will”
“It could be worse”
“At least you still have…”
“Everything will be okay”
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-18
 
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Cover the body; treat it with respect
Move the body to temporary morgue
Follow local laws and protocols
Talk with local authorities
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-19
 
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Separate the family member(s) or friend(s)
Have the person(s) sit down
Make eye contact
“I’m sorry, but your family member has
died.  I am so sorry.”
Let the family and friends grieve
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-20
 
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Rescues may be unpleasant or uncomfortable
Psychological and physiological symptoms of
trauma
Take steps to reduce stress
CISD is one intervention
Four emotional phases of a disaster
Stress affects cognition, health, and interactions
Stabilize individuals
Be an empathetic listener
 
CERT Basic Training
Unit 7: Disaster Psychology
 
7-21
 
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1.
Read unit to be covered in next session
2.
Bring necessary supplies to next session
3.
Wear appropriate clothes to next session
 
CERT Basic Training
Unit 7: Disaster Psychology
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Delve into the complexities of disaster psychology and trauma management in CERT Basic Training Unit 7. Explore topics such as recognizing emotional environments, alleviating stress for survivors and rescuers, and identifying psychological and physiological symptoms of trauma. Learn how to support team well-being and implement strategies to reduce stress effectively.

  • Disaster psychology
  • Trauma management
  • Stress relief
  • Emotional support
  • Psychological symptoms

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  1. Disaster Psychology CERT Basic Training Unit 7

  2. Unit Objectives Describe disaster and post-disaster emotional environment for survivors and rescuers Describe steps rescuers can take to relieve their own stress and that of other survivors CERT Basic Training Unit 7: Disaster Psychology 7-1

  3. Unit Topics Disaster Trauma Team Well-Being Working with Survivors Trauma CERT Basic Training Unit 7: Disaster Psychology 7-2

  4. Psychological Trauma Your own personal losses Working in your neighborhood Assisting neighbors, friends, coworkers who have also been injured Not feeling safe and secure CERT Basic Training Unit 7: Disaster Psychology 7-3

  5. Psychological Symptoms of Trauma Irritability or anger Self-blame or blaming others Isolation and withdrawal Fear of recurrence Feeling stunned, numb, overwhelmed Feeling helpless Mood swings Sadness, depression, grief Denial Concentration and memory problems Relationship problems/marital discord CERT Basic Training Unit 7: Disaster Psychology 7-4

  6. Physiological Symptoms of Trauma Loss of appetite Headaches or chest pain Diarrhea, stomach pain, or nausea Hyperactivity Increase in drug consumption Nightmares Insomnia Fatigue CERT Basic Training Unit 7: Disaster Psychology 7-5

  7. Team Well-Being Actions can be taken before, during, and after an incident to help manage emotional impact of disaster response work Knowing possible psychological and physiological symptoms of disaster trauma helps manage impact Learn to manage stress CERT members for themselves CERT leaders during response CERT Basic Training Unit 7: Disaster Psychology 7-6

  8. How You Reduce Stress Get enough sleep Exercise regularly Eat a balanced diet Balance work, play, and rest Allow yourself to receive as well as give Connect with others Use spiritual resources CERT Basic Training Unit 7: Disaster Psychology 7-7

  9. Take Care of Yourself Be aware of trauma that can follow a disaster Explain to family members and friends what you need: Listen when you want to talk Don t force you to talk CERT Basic Training Unit 7: Disaster Psychology 7-8

  10. How Team Leaders Reduce Stress Brief CERT personnel beforehand Remember CERT is a team Rest and regroup Take breaks away Eat properly, stay hydrated Arrange for debriefing Rotate teams and duties Phase out workers gradually CERT Basic Training Unit 7: Disaster Psychology 7-9

  11. Critical Incident Stress Debriefing 1. Introductions and description 2. Review of factual material 3. Sharing of initial thoughts and feelings 4. Sharing of emotional reactions to incident 5. Instruction about normal stress reactions 6. Review of symptoms 7. Closing and further needs assessment CERT Basic Training Unit 7: Disaster Psychology 7-10

  12. Phases of a Crisis Impact Inventory Rescue Recovery CERT Basic Training Unit 7: Disaster Psychology 7-11

  13. Traumatic Crisis Actual or potential death Serious injury Destruction Loss of contact with family or close friends CERT Basic Training Unit 7: Disaster Psychology 7-12

  14. Effects of Traumatic Stress Cognitive functioning Physical health Interpersonal relationships CERT Basic Training Unit 7: Disaster Psychology 7-13

  15. Mediating Factors Prior experience with a similar event Intensity of disruption Individual feelings about event Emotional strength of individual Length of time since event CERT Basic Training Unit 7: Disaster Psychology 7-14

  16. Stabilizing Survivors Assess survivors for injury or shock Get uninjured people to help Provide support by: Listening Empathizing Help survivors connect with natural support systems CERT Basic Training Unit 7: Disaster Psychology 7-15

  17. How to Be an Empathetic Listener Put yourself in the speaker s shoes Listen for meaning, not just words Pay attention to nonverbal communication Paraphrase the speaker CERT Basic Training Unit 7: Disaster Psychology 7-16

  18. Avoid Saying I understand Don t feel bad You re strong or You ll get through this Don t cry It s God s will It could be worse At least you still have Everything will be okay CERT Basic Training Unit 7: Disaster Psychology 7-17

  19. Managing the Death Scene Cover the body; treat it with respect Move the body to temporary morgue Follow local laws and protocols Talk with local authorities CERT Basic Training Unit 7: Disaster Psychology 7-18

  20. Informing Family/Friends of a Death Separate the family member(s) or friend(s) Have the person(s) sit down Make eye contact I m sorry, but your family member has died. I am so sorry. Let the family and friends grieve CERT Basic Training Unit 7: Disaster Psychology 7-19

  21. Unit Summary Rescues may be unpleasant or uncomfortable Psychological and physiological symptoms of trauma Take steps to reduce stress CISD is one intervention Four emotional phases of a disaster Stress affects cognition, health, and interactions Stabilize individuals Be an empathetic listener CERT Basic Training Unit 7: Disaster Psychology 7-20

  22. Homework Assignment 1. Read unit to be covered in next session 2. Bring necessary supplies to next session 3. Wear appropriate clothes to next session CERT Basic Training Unit 7: Disaster Psychology 7-21

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